Kristiansen A B, Heyeraas K J, Kirkebø A
Department of Physiology, University of Bergen, Norway.
Acta Physiol Scand. 1993 Feb;147(2):151-61. doi: 10.1111/j.1748-1716.1993.tb09484.x.
The haemodynamic effects of sympathetic agonists causing decongestion of the nasal mucosa have been investigated in rats. Access to mucosa was obtained from the dorsal side through a small cavity drilled in the nasal bone. The pressures in the venous sinusoids and in the interstitial fluid of nasal mucosa were recorded by micropuncture technique. The local red cell flux (LDF) was monitored by laser Doppler flowmetry, and the blood volume in the mucosa was measured by radio-labelled erythrocytes and albumin. In control rats the tissue blood volume was 0.25 +/- 0.03 g (g wet wt)-1. The interstitial fluid pressure (IFP) was 2.4 +/- 0.6 mmHg and the average blood pressure in venous sinusoids (Ps) was 12.8 +/- 2.7 mmHg. After topical application of noradrenaline (NA) the local blood volume was reduced to 0.12 +/- 0.03 g g-1. Ps was increased to 18.0 +/- 4.0 mmHg, whereas IFP was maintained and LDF was reduced to 40.4% of control, indicating a greater rise in post than in presinusoid vascular resistance. Blocking of both alpha 1 and alpha 2-receptors by phentolamine caused a rise in mucosa blood volume and in LDF by 16 and 20% of control, respectively. Ps increased significantly to 15.2 +/- 3.3 mmHg. Specific stimulation or blocking of alpha 1-receptors by phenylephrine or prazosin induced similar or slightly smaller vascular responses than NA or phentolamine. The effects of the specific alpha 2-agonist (clonidine) or antagonist (yohimbine) on rat mucosa were small, indicating a domination of the alpha 1-receptors. Thus, application of NA caused a rise in blood pressure in the venous sinusoids of nasal mucosa. As LDF fell simultaneously, the reduced blood volume must be due to an increased tone in the muscular wall of venous sinusoids.
已在大鼠中研究了引起鼻黏膜充血减轻的交感神经激动剂的血流动力学效应。通过在鼻骨上钻出的小腔从背侧进入黏膜。通过微穿刺技术记录鼻黏膜静脉窦和组织间隙液中的压力。用激光多普勒血流仪监测局部红细胞通量(LDF),并用放射性标记的红细胞和白蛋白测量黏膜中的血容量。在对照大鼠中,组织血容量为0.25±0.03 g(湿重g)-1。组织间隙液压力(IFP)为2.4±0.6 mmHg,静脉窦中的平均血压(Ps)为12.8±2.7 mmHg。局部应用去甲肾上腺素(NA)后,局部血容量降至0.12±0.03 g g-1。Ps升至18.0±4.0 mmHg,而IFP保持不变,LDF降至对照的40.4%,表明窦后血管阻力的升高幅度大于窦前血管阻力。酚妥拉明阻断α1和α2受体后,黏膜血容量和LDF分别比对照升高16%和20%。Ps显著升至15.2±3.3 mmHg。苯肾上腺素或哌唑嗪对α1受体的特异性刺激或阻断所诱导的血管反应与NA或酚妥拉明相似或略小。特异性α2激动剂(可乐定)或拮抗剂(育亨宾)对大鼠黏膜的作用较小,表明α1受体起主导作用。因此,应用NA导致鼻黏膜静脉窦血压升高。由于LDF同时下降,血容量减少必定是由于静脉窦肌壁张力增加所致。